The best fertility insurance company for you depends on your health needs. Investopedia’s comparison of 澳洲幸运5官方开奖结果体彩网:Affordable Care Act (ACA) plans on HealthCare.gov found that i﷽s the best choice for infertility prescription coverage. generally offers the lowest prices for infertility care, and offers access to an extensive provider networ🌠k.
The Affordable Care Act does not require 澳洲幸运5官方开奖结果体彩网:Health Insurance Marketplace plans to cover infertility services. As a result, coverage is limited in many states. Investopedia analyzed plans in Illinois, where infertility is an essential health benefit required for marketplace plans. Only a handful of other states have such comprehensive infertility coverage requirements for marketplace plans, so you may find more limited results when shopping for plans in your state.
The Best Fertility Insurance of 2025
- Best for Low Costs: 澳洲幸运5官方开奖结果体彩网: Ambetter
- Best for Drug Coverage: Aetna
- Best for Wide Availability: 澳洲幸运5官方开奖结果体彩网: UnitedHealthcare
Best for Low Costs : Ambetter
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Ambetter
- Average individual monthly premium (silver plan): $441
- Average individual annual deductible (silver plan): $4,556
- Customer complaints: Many more than expected
Ambetter’s marketplace plans are some of the most affordable among the companies Investopedia reviewed. Its Clear Silver plan covers all your costs for in-network infertility care after you meet its $6,500 澳洲幸运5官方开奖结果体彩网:deductible. Most other companies charge you a portion of the costs after you meet your deductible (“澳洲幸运5官方开奖结果体彩网:coinsurance”).
Covers infertility ser🀅vices at no cost after deductible
Low out-of-pocketꦜ 𒁏maximum compared to other marketplace policies
Pre-authorization is required for fertility drugs
Frequent customer complaints
Ambetter has some of the most affordable marketplace plans based on average premiums, deductibles, and copays. Its average maximum out-of-pocket limits for individuals ($7,141) and families ($13,556) are the lowest among the companies Investopedia reviewed. The insurer’s Clear Silver plan has no coinsurance or copay for in-network infertility services after you mee💟t yo🤡ur deductible.
However, Ambetter doesn’t have the best drug prices. In Illinois, Ambetter covers fertility drugs such as gonadotropin as tier 4 specialty drugs. So, you’ll have to ask A🅰mbetter if it’ll cover the drug, and if it does, your prescription will likely be expensive. Ambetter’s marketplace plans cꦉharge almost a 50% copay on average nationwide for tier 4 drugs.
Ambetter also receives many more customer complaints than expected for its size. Its three-year average National Association of Insurance Commis🍃sioners (NAIC) Complaint Index was 2.31. A company that receives the expected number of complaints will receive an index of 1, and Ambetter’s index is well above that.
In general, Ambetter o💖nly covers invitro fertilization (IVF) after you’ve tried cheaper fertility options.
Ambetter was founded in 201🍰4, and its parent company, Centene, is based in St. Louis. It offers marketplace plans in 29 states.
Best for Drug Coverage : Aetna
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Aetna
- Average individual monthly premium (silver plan): $501
- Average individual annual deductible (silver plan): $5,107
- Customer complaints: Much fewer than expected
Aetna has low copays for pharmacies and covers infertility drugs like chorionic gonadotropin as a preferred specialty drug. Many competitors don’🔥t cover the drugs at all or they cover them at a higher, more expensive tier. Aetna a﷽lso has a National Infertility Unit staffed by experts who help members manage and understand their fertility benefits.
Aetna won’t offer Obamacare plans on the marketplace in 2026. Its parent company, CVS Health, said exiting the marketplace would help “focus the Company’s portfolio” on other services. If you get your health insurance through Aetna’s exchange plans, you’ll need to find a new plan for 2026. Aetna will continue to provide service to members until the end of 2025.
Low copays for doctor visits and pharmacies
National Infertility Unit for coor💜dinating infertility care
Few customer complaints
Relatively high ᩚᩚᩚᩚᩚᩚᩚᩚᩚ𒀱ᩚᩚᩚpremiums and deductibles for marketplace plans
In Investopedia's nationwide review of health insurance companies, Aetna had some of the lowest copays for doctors and pharmacies. Fertility treatments often require large quantities of high-cost medications to succeed, including the commonly used drug gonadotropin.
Of the seven insurers offering infertility coverage on the Illinois marketplace, Aetna was one of only three to cover gonadotropin. Aetna and Cigna each cover it in their second-most expensive drug cost🍃 tier, while Ambetter covers it at its most expensive.
A typical dose of gonadotropin can cost anywhere from around $280 to more than $550 without insurance, depending on your pharmacy.
While Aetna and Cigna of🎀fered similar coverage in Illinois, we felt Aetna had better drugಌ coverage because it had slightly lower drug copays nationally, especially for family plans.
Doctor visits are also frequent during IVF t✱reatment. Aetna’s Silver S plan covers most in-network fertility care at a flat copay of $80. Most ✤other insurers charge a coinsurance based on a percentage of the cost of care, making it harder to plan your spending.
Aetna received far fewer complaints than expected for its size over the past three years, which also helped land it on our list of the 澳洲幸运5官方开奖结果体彩网:best health insurance companies. Members get perks like $0 CVS MinuteClinic 𒁃visits and 20% off CVS Health-brand wellness products.&🍨nbsp;
However, in our study, Aetna’s average premiums and deductibles for individual plans are on the higher end. Like Ambetter, Aetna only covers more advanced treatments like IVF after🐬 you’ve tried less invasive and cheaper treatments like artificܫial insemination.
Aetna was founded in 1853 and 💯is based in Hartford, Connecticut. It offeℱrs marketplace plans in 17 states.
Best for Wide Availability : UnitedHealthcare
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UnitedHealthcare
- Average individual monthly premium (silver plan): $514
- Average individual annual deductible (silver plan): $3,077
- Customer complaints: Much fewer than expected
UnitedHealthcare (UHC) offers marketplace plans in 30 states and a network of more than 1.3 million providers and 6,500 hospitals and care facilities, including “Centers of Excellence”—high-quality fertility centers located in almost every state. The widespread availability of 🐠its plans also earned it a place on our list of the 🐠best health insurance companies.
Large network of fertility providers
Marketplace plans in 30 states
Few customer complaints
High average premiums
High average out-of-pocket maximums
UHC offers a Fertility Solutions program that can connect you with a team of fertility nurses. Th🐷e insurer has designated a nationwide network of high-quality fertility Centers of Ex🌳cellence, so members in most areas should have access to an in-network fertility specialist.
UHC’s NAIC complaint index, a measure of customer complaints relative to market share, is second only to Aetna. However, it’s not the cheapest option–UHC’s Silver Standard plan in Illinois includes a 40% coinsurance for in-network infertility services, higher than Aetna and Ambetter's. Nationally, its average individual 澳洲幸运5官方开奖结果体彩网:silver plan premium is $5ඣ14, higher than most competitors in Investopedia’🌳s study. Its average out-of-pocket maximum of $7,990 is also among the highest.
Like other insurers on this list, UHC ✱only covers advanced treatments like IVF after you’ve tried less costly options. Most plans either exclude or require prior authorization to cover injectable gonadotropin.
UnitedHealthc🐷are was founded in 1977 and is based in Minnetonka, Minnesota.
Why You Should Trust Us
Investopedia’s team of researchers, editors, and writers make recommendations based on our thorough and impartial analysis. Our guidance is centered on helping consumers make the best choice. While we may earn compensation if you click on specific links, our advertising relationships do not influence product reviews, though they may affect the order in which they’re presented. Investopedia 𝓀was founded in 1999 and has been helping readers find the best health insurance companies since 2019.
Methodology
ﷺInvestopedia’s rankings of the best health insurance companies for fertility treatment are based on our independent research into nine providers offering plans through federal and state marketplaces. Staff editors and research analysts evaluated costs, customer satisfaction, plan benefits, and coverage for infertility services.
We analyzed market share, enrollment trends, and availability to select the nine companies to review. Investopedia’s research for this ranking was conducted from Oct. 24 to Nov. 8, 2024, with additional research on fertility benefits from Jan. 8 to Jan. 15, 2025. We collected data from HealthCare.gov, state marketplaces, the 澳洲幸运5官方♐开奖结果体彩网:National Association of Insurance Commissioners, and directly from each compaꦛny. Oཧur fertility research is based on a sampling of plans in Illinois and a close reading of each company’s clinical coverage guidelines.
Read our 澳洲幸运5官方开奖结果体彩网:full methodology for reviewing health insurance providers.
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